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Hii I m having twins who are 23 mnths old...

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Posted on Wed, 6 Mar 2019
Question: Hii
I m having twins who are 23 mnths old... My first twin is proper in everything but my 2nd twin is not having any food since last 7 mnths.. He just hv milk and so i dilute rice.. Oats nd everything in milk nd gibe him... But my pediatrician has now suggested me to even stop his milk nd keep him hungry to make him realise abt food... But my question here is whenever i get spoon near his mouth,he just pushes away my hand or turns back or runaway... He becomes so stubborn to not to eat.... I m really worried abt him and secondly till now he also dont speaks words like mumma.. Dad.... He blabbers but speaks some certain his own language... Pls advise me wht to do...
doctor
Answered by Dr. Diptanshu Das (2 hours later)
Brief Answer:
The delay in speech calls for early intervention

Detailed Answer:
Thanks for using the Ask a Doctor service.

I have gone carefully through your query and understand your concerns. Incidentally your problem is not unique. I understand that the problem is only with the second twin but children are often fussy eaters. My suggestions for you would be:
* Do not force feed the baby. This will increase the child's apathy towards food. Rather wait for the child to get hungry. At times you may have to wait several hours. Be patient. The urge should be his and not yours.
* Try to avoid any minor feeds between meals. They take the appetite away.
* Restrict the number of times she receives breast feed (if at all). Limit breast milk intake to night hours if the child is still breast feeding.
* Treat the child as a member of family and make him dine together with others. Even if the child is not eating, make him sit with others while they take their meal.
* Keep the meal amounts small and keep other food items readily available for the child to pick up. For example, keep fruits ready to be picked up from the table.
* Please be informed that there are NO syrups, medicines or tonics that can help in changing the situation. I would insist you not to go for any one of them.
* The way out might not be easy. But remember that you need to reduce your botheration. With careful improvisations I am sure that the situation would improve.

However, that there is speech and language delay is a cause for concern and you need to see a doctor without delay. The issue needs to be dealt with promptly to avoid a lasting effect.

Also visit this link and answer the questions to evaluate your child for autism
https://www.autismspeaks.org/screen-your-child

Feel free to write back.

Regards
Above answer was peer-reviewed by : Dr. Kampana
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Follow up: Dr. Diptanshu Das (5 hours later)
Sir i agree tht we are not able to understand wht he says or blabbers but words like haathi... Bhai he says... These are the words which my first twin keeps on saying continuously everyday many times... So i guess he is trying to copy his words.... Moreover if i ask my second twin to give me this or tht.. He never does that but if he wants to drink water,,he holds my finger and takes me to kitchen where i keep water.... Moreover he also knows that where are the switches of lights in different rooms and at times goes and switch on all lights anytime.... All these things sometimes really put me in dilemma tht he is normal and sometimes his unattentive behaviour makes me think tht he is very slow.... One more thing i will like to say he also dance on some of his favourite songs when i play them... Pls let me know tht is my child slow or he is normal....he was born at 36 wks plus 1 day
doctor
Answered by Dr. Diptanshu Das (48 minutes later)
Brief Answer:
Early intervention needed

Detailed Answer:
Thanks for the update. I will still insist on speech therapy for your second twin. It would consist of some simple steps to boost his speech.

Regards
Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Diptanshu Das

Pediatrician

Practicing since :2005

Answered : 3828 Questions

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Hii I m having twins who are 23 mnths old...

Brief Answer: The delay in speech calls for early intervention Detailed Answer: Thanks for using the Ask a Doctor service. I have gone carefully through your query and understand your concerns. Incidentally your problem is not unique. I understand that the problem is only with the second twin but children are often fussy eaters. My suggestions for you would be: * Do not force feed the baby. This will increase the child's apathy towards food. Rather wait for the child to get hungry. At times you may have to wait several hours. Be patient. The urge should be his and not yours. * Try to avoid any minor feeds between meals. They take the appetite away. * Restrict the number of times she receives breast feed (if at all). Limit breast milk intake to night hours if the child is still breast feeding. * Treat the child as a member of family and make him dine together with others. Even if the child is not eating, make him sit with others while they take their meal. * Keep the meal amounts small and keep other food items readily available for the child to pick up. For example, keep fruits ready to be picked up from the table. * Please be informed that there are NO syrups, medicines or tonics that can help in changing the situation. I would insist you not to go for any one of them. * The way out might not be easy. But remember that you need to reduce your botheration. With careful improvisations I am sure that the situation would improve. However, that there is speech and language delay is a cause for concern and you need to see a doctor without delay. The issue needs to be dealt with promptly to avoid a lasting effect. Also visit this link and answer the questions to evaluate your child for autism https://www.autismspeaks.org/screen-your-child Feel free to write back. Regards